Individual provider Active NPI

Ginger Ann Jensen, NNP

  • Neonatal Nurse Practitioner
  • Boise, ID
National Provider Identifier
1174895353
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
NP-1112A Issued in ID
Practice address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone
(208) 302-4600
Fax
(208) 302-4655
NPI assigned
Feb 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X NP-1112A ID
Neonatal Nurse Practitioner 363LN0000X NUR-APRN-LIC-161736 MT
Neonatal Nurse Practitioner 363LN0000X NP-1112A ID Primary

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 660-3573

Other practice location 2

393 E 2nd N
Rexburg, ID 83440-1605
Phone (208) 660-3573

Other practice location 3

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (208) 660-3573

Other practice location 4

202 Conway Dr Ste 200
Kalispell, MT 59901-3153
Phone (406) 758-7490

Other practice location 5

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 302-4600

Other practice location 6

310 Sunnyview Ln
Kalispell, MT 59901-3129
Phone (406) 751-5391

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DEPTLHREVIntegrityHIMTechs@logan.org Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150416000550 ID Practitioner - Nurse Practitioner 2365760600 Reassigns benefits to 2 organizations
I20201209002358 MT Practitioner - Nurse Practitioner 2365760600 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-161736MTMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Madison Memorial Hospital CurrentSince Nov 1, 2022 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Aug 14, 2023 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Aug 14, 2023 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000

450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691

202 Conway Dr
Ste 200
Kalispell, MT 59901
Phone (406) 752-8433

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

202 Conway Dr
Ste 100
Kalispell, MT 59901
Phone (406) 751-5666

Interoperability endpoints

  • Direct secure messaging: gjensen3072381@direct.trinity-health.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d61ab3e4-55bb-4859-99e6-22c413b48f2a/
  • Direct secure messaging: gjensen889839@ahs.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1174895353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "telephone_number": "208-302-4600",
            "fax_number": "208-302-4655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Channing Way",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047533",
            "country_code": "US",
            "telephone_number": "208-660-3573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "393 E 2nd N",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834401605",
            "country_code": "US",
            "telephone_number": "208-660-3573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Highland Blvd",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156902",
            "country_code": "US",
            "telephone_number": "208-660-3573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Conway Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013153",
            "country_code": "US",
            "telephone_number": "406-758-7490",
            "fax_number": "406-758-7080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 E Flamingo Ave",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836873138",
            "country_code": "US",
            "telephone_number": "208-302-4600",
            "fax_number": "208-302-4655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Sunnyview Ln",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013129",
            "country_code": "US",
            "telephone_number": "406-751-5391",
            "fax_number": "406-751-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "GINGER",
        "middle_name": "ANN",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "ID",
            "license": "NP-1112A",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "MT",
            "license": "NUR-APRN-LIC-161736",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "ID",
            "license": "NP-1112A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DEPTLHREVIntegrityHIMTechs@logan.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "202 Conway Dr Ste 200",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.